Tag Archives: lead placement

This is the discussion for Comparing 12-Leads: Common Error or Common Disease? All of our readers were on the right track, and many were spot on! Sometimes, troubleshooting an ECG is more than just lead placement. In this case report, we had three 12-Lead ECG's, all featuring a similar pattern: inappropriate R-wave progression. Initially, when […]

Here’s a fascinating case submitted by Geoff Dayne. EMS is called to a VA clinic for a 23 year old male who came in to get checked into the system. Somewhere in the exchange, he mentioned that he had been experiencing chest pain off & on for just over a month. Onset: Today’s pain came […]

Here is the conclusion to 72 year old male CC: Unknown problem (man down) Here was the initial 12-lead ECG. Based on this ECG the lead paramedic called a "STEMI Alert" and transmitted the ECG to the receiving hospital. The on-duty ED physician received the ECG and the paramedic's radio report. The ED physician […]

EMS is dispatched to a 72 year old male patient. Third party call. History of Parkinson's Disease. Patient is conscious. No further information. On arrival, EMS finds a 72 year old Spanish-speaking male. Through an interpreter the lead paramedic determines that the patient became dizzy, fell down, and hit his head. A small hematoma is […]

Ben WallerWhy do we send so many people to a cardiac arrest?I am also a Battalion Chief in Tom's system. In addition to the AHA bullets he mentioned regarding high-quality CPR, our response is designed to provide fatigue-free CPR by sending enough people so that no one does CPR for more than 2 consecutive minutes. As for science, we believe strongly in it, but we also…
2016-12-08 11:29:19

Vince DiGiulioNo, doubling the paper speed will not reveal hidden P-wavesGreat tip! It's not much of an option prehospital, but one more thing I'll do when I'm in the ED and a patient has persistent tachycardia is look at the graphic trend of the patient's heart rate. Reentrant tachycardias will show a stable horizontal line (steady rate), often with a fairly abrupt onset/offset, while sinus…
2016-12-07 06:58:16

Vince DiGiulio59 Year Old Female: Intermittent Head Pain (Conclusion)Thanks! There's a couple of reasons why V7-9 might have been negative here: 1) Not all "inferoposterior" STEMI's show ST-elevation in V7-V9. Sometimes the ST-depression we see in V2 and V3 is reciprocal to the inferior STEMI and not really caused by posterior injury. 2) You'll notice that there is only subtle ST-depression in V3…
2016-12-07 06:55:27

Cardiac Care Show - Episode 1: Mechanical CPR - ECG Medical TrainingAdvanced Airway Management – Should Paramedics Be Intubating?[…] in the Resuscitation group on Facebook and the #FOAMed community on Twitter. Alongside tracheal intubation, response times, and fire-based EMS, this is one of the most controversial topics in prehospital […]
2016-12-04 18:26:57